Perceptions of Patients Undergoing Siddha treatment

8/13/2019 Perceptions of Patients Undergoing Siddha treatment

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INTRODUCTION Utilization of TM (CAM) in the health

care delivery system is yet very minimal

Generally there is a growing demand allover the world for TM.

Globally 4.8 bn (80%) use TM for their

primary health care (WHO).

Ayurveda, Siddha and Unani are ISM.


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Introduction (cont.)

ISM widely practiced due to accessibilityor affordability.

Not alone a medical system. Also a wayof life.

Main areas of research are lifestyle

related diseases, degenerative andpsychosomatic disorders.


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Introduction (cont.) Siddhathe Tamil medical system.

Siddha is in the initial stages of renaissance

after centuries in darkness. People suffering from chronic ailments like

Diabetes mellitus, Bronchial asthma,degenerative joint disordersetc., form the

majority among Siddha users. This is the first attempt to record the

Perceptions of Siddha users.


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REVIEW OF LITERATURE

"Traditional medicine includes diverse healthpractices, approaches, knowledge and beliefs

incorporating plant, animal and/or mineral-based medicines, spiritual therapies, manualtechniques and exercises, applied singularlyor in combination to maintain well-being, as

well as to treat, diagnose or prevent illness.(WHOSTRATEGY ON TM)


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OBJECTIVES

To study the perceptions about usingSiddha system of medicine.

To estimate the overall responseto treatment and level of satisfaction among

users of Siddha medicine.

To measure the proportion of

chronically ill patients among Siddha users.To find out the reason behind choosing

Siddha treatment


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HYPOTHESISIt is assumed that about 50% of patients taking

Siddha medicines suffer from chronic ailments

(suffering from the disease for more thanthree months) such as diabetes mellitus,bronchial asthma, osteoarthritis etc

These chronically ill patients turn to Siddha

treatment only after trying other forms oftreatment especially the conventional modernmedicine.


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METHODOLOGY

Study design:Cross sectional study

Study population & Site: Out patients

attending National Institute of Siddha,Chennai.

Inclusion criteria :*Out patients who had completed at leastone month Siddha treatment prior to thestudy*Willingness to participate in the study


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METHODOLOGY (cont.,)

Exclusion criteria v Patients notwilling to participate

vThose who had not completed one monthof treatment

Sample size

N = ( Z 2 / d 2 ) (P) (1- P )

Z - Level of significanced - Precision

P - Prevalence

N = 384


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METHODOLOGY (cont.,)

Sampling method Convenient orpurposive sampling technique

Ethical clearance The protocol and wasapproved by the Tamilnadu Dr. M.G.R.Medical University Ethics committee inadvance

Collection of data The data werecollected after getting the informed consentand recorded based on a questionnairecontaining both open ended and closed

ended questions.


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METHODS

Development of protocol and questionnaire

Approval of protocol

Preparation for fieldwork

Target population

Study population

Inclusion & exclusion criteria applied


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METHODS (cont.,)

402 patients included

Interview & collection of data

Data entry

Statistical analysis

Study results


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METHODS (cont.,) Preparation of fieldwork Interview Collection of data Data management and analysis

The data were entered through Microsoft

Excel and analyzed using SPSS version 10 and Epi Info3.3.2

Distribution of Disease pattern and Othersfactors like previous treatment, chronicity of the illness,improvement perceived, satisfaction with physicians

attitude and care offered, duration required for significantimprovement in disease condition etc. were studied.

Chi square test was done for comparison of thecategorical variables.

Univariate analysis and Multiple logistic

regressions were done.


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RESULTSOf the 402 respondents interviewed, 247 were male

and 155 female.40% were above 50 years, 62.4% were above 40years of age.

AGE

> 51 Years41 - 50 Years

31 - 40 Years21 - 30 Years

13-20 Years


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Disease distribution among

respondents 117 suffered from

Orthopedic problems

73 dermatological 53 respiratory

44 gastrointestinal

43 Diabetes mellitus

24 neurological 13 gynecologic

35 others

Disease Distribution

0

20

40

60

80

100

120

140

Disease

No

ofcases

Ortho GIT Respiratory Neurological

Gynec Diabetes Dermato Others


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Reason for choosing

Siddha 204 not satisfied

with othertreatments

138 expecting asafer / lastingrelief

42 naturally

interested inSiddha

18 others reasonslike freetreatment, nearby

location etc.,

Reason for choosing Siddha

52%34%

10%

4%

Not satisfied with other treatments Naturally interested in Siddha

Expecting a safe/ permanent relief Others


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Source of information

263friends

60family

members 51previous

personalexperience

28media(news paper &television)

SOURCE OF INFORMATION

Media,newspapers etc

Family membersFriends

Previous personal ex

P

ercen

t

706050403020100

i f i i h h


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Satisfaction with theimprovement from Siddha

treatment

355 satisfied

47 not satisfied

Satisfaction with the improvement

Yes

No


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DISCUSSION 373 (93.68%)were suffering from the

disease condition for more than 3 months

Orthopedic or musculoskeletal disorders werefound among 29.10%of the patients (117)

Number of people aging above 50 years were161 (40%)drug delivery system or slow

action? reason behind preferring Siddha treatment:

204 (50.74%) dissatisfaction with the othersystems of medicine. 138 (34.32%)

expected a safe and lasting relief.


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DISCUSSION (cont.,) Source recommending Siddha: 263 -friends

and neighbors,60 - their family membersand 28 - had known about Siddha from themedia. Only51 persons had previouspersonal experience.MOUTH BY MOUTH.

Duration of treatment: 288 patients for aperiod of more than 2 months. Chronic natureof conditions.

Satisfaction with prognosis: 355satisfied.Effectiveness of Siddha or low expectation?


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DISCUSSION (cont.,) 385 satisfaction over the attitude of doctors

attitude and care offered.Kinder words fromand more time allotted to the patients bySiddha (CAM) doctors. (Adrian Furnham,Ph.D).

Duration for significant improvement wasmore than a month for 50% of patients.Chronic nature of disease.

297were undergoing Sidhha treatment forthe first time. Growing awareness &

popularity


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DISCUSSION (cont.,) Previous treatment taken: 306had

undergone allopathic treatment. Hypothesis

correct. Or due to easy availability? 94.5%were comfortable with the Siddha

drug delivery system.Common belief wrongor relief by all means.

Improvement in disease condition: 277people had moderate to good improvement.No objective methods used.


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CONCLUSION Siddha, the perfect system of medicine or

the medical system of the perfect Siddhars,is fast reviving in its own land

The results of the current study show apositive change of attitude of the publictowards Siddha system of medicine

Siddha system of medicine is expected to dowell particularly for the problems for whichthe conventional modern medicine has nocure like degenerative disorders, chronicdermatological conditions etc.,

Perceptions of Patients Undergoing Siddha treatment

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